Individual provider Active NPI

Mariel Rivera-Delgado, M.D.

  • Pediatrics Physician
  • Ceiba, PR
National Provider Identifier
1699895813
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12481 Issued in PR
Practice address
Calle 1 B13
Ext. Villas del Pilar
Ceiba, PR 00735
Phone
(787) 244-0990
NPI assigned
Mar 30, 2007
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12481 PR Primary

Addresses

Primary practice location

Calle 1 B13
Ext. Villas del Pilar
Ceiba, PR 00735

Mailing address

Calle 1 B13 Ext. Villas del Pilar
Ceiba, PR 00735
Phone (787) 244-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001477 PR Practitioner - Pediatric Medicine 4486074333 Practice locations: Ceiba, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12481PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcmariver@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1699895813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 B13 EXT. VILLAS DEL PILAR",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-244-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 B13",
            "address_2": "EXT. VILLAS DEL PILAR",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-244-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-DELGADO",
        "first_name": "MARIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceiba, PR

Sources for this page

Verify at the official NPI Registry.